Repercussions for mental health of nursing professionals who are in the face of The Covid-19: integrative review
DOI:
https://doi.org/10.5902/2179769264313Keywords:
Occupational health, Mental health, Nurses, Coronavirus infections, PandemicsAbstract
Objective: To identify the repercussions on mental health of nursing professionals who are in the face of Covid-19 in the first year of the pandemic context. Method: integrative literature review conducted in May 2021 in the electronic databases SCOPUS, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Latin American and Caribbean Literature on Health Sciences (LILACS). Results: 1,249 publications were found whose application of inclusion, exclusion and critical reading criteria culminated in the analysis of 18 articles from experiences from China, Turkey, Italy, Canada, United States, Philippines, Brazil, Portugal and Ethiopia. The main repercussions involved in mental illness were anxiety, depression, stress, Burnout syndrome, mental sleep disorders and posttraumatic stress disorder. Conclusion: The mental health of nurses is extremely fragile in the face of the pandemic context. This emergency in world health eventually triggered physical, emotional and psychological consequences in these workers.Downloads
References
Pan American Health Organization (PAHO); World Heath Organization (WHO). WHO Characterizes COVID-19 as a pandemic [Internet]. World Health Organization; 2020 [cited 2020 Jun 15]. Available from: https://www.paho.org/hq/index.php?option=com_content&view=article&id=15756:who-characterizes-covid-19-as-a-pandemic&Itemid=1926&lang=en
Ministério da Saúde (BR). Coronavírus: Brasil. https://covid.saude.gov.br/2020
Nguyen LH, Drew DA, Joshi AD, Guo CG, Ma W, Mehta RS, et al. Risk of Covid-19 among frontline healthcare workers and the general community: a prospective cohort study. Lancet Public Health. 2020 Sept;5(9):e475-83. doi: https://doi.org/10.1016/S2468-2667(20)30164-X
Zhan M, Qin Y, Xue X, Zhu S. Death from COVID-19 of 23 health care workers in China. N Engl J Med. 2020;382(23):2267-8. doi: https://doi.org/10.1056/NEJMc2005696
Conselho Federal de Enfermagem (COFEN). Profissionais infectados com Covid-19 informado pelo serviço de saúde [Internet]. Brasília (DF): Cofen; 2020 [acesso em 2020 jun 26]. Disponível em: http://observatoriodaenfermagem.cofen.gov.br/
Silva MP, Bernardo MH, Souza HA. Relação entre saúde mental e trabalho: a concepção de sindicalistas e possíveis formas de enfrentamento. Rev Bras Saúde Ocup. 2016;41:e23. doi: https://doi.org/10.1590/2317-6369000003416
Grincenkov FR. A psicologia hospitalar e da saúde no enfrentamento do coronavírus: necessidade e proposta de atuação. HU Rev. 2020;46:1-2. doi: https://doi.org/10.34019/1982-8047.2020.v46.30050
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. doi: https://doi.org/10.1590/S0104-07072008000400018
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. doi: https://doi.org/10.1111/j.1365-2648.2005.03621.x
Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latinoam Enferm. 2007;15(3):1-4. doi: https://doi.org/10.1590/S0104-11692007000300023
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):1-10. doi: https://doi.org/10.1186/s13643-016-0384-4
Zhang X, Jiang X, Ni P, Li H, Li C, Zhou Q, et al. Association between resilience and burnout of front-line nurses at the peak of the COVID-19 pandemic: positive and negative affect as mediators in Wuhan. Int J Ment Health Nurs. 2021; Online ahead of print. doi: https://doi.org/10.1111/inm.12847
Çınar D, Kılıç Akça N, Zorba Bahçeli P, Bağ Y. Perceived stress and affecting factors related to COVID-19 pandemic of emergency nurses in Turkey. J Nurs Manag. 2021; Online ahead of print. doi: https://doi.org/10.1111/jonm.13329
Simonetti V, Durante A, Ambrosca R, Arcadi P, Graziano G, Pucciarelli G, et al. Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: a large cross-sectional study. J Clin Nurs. 2021;30(9-10):1360-71. doi: https://dx.doi.org/10.1111%2Fjocn.15685
Yurtseven Ş, Arslan S. Anxiety levels of university hospital nurses during the Covid-19 pandemic. Perspect Psychiatr Care. 2021; Online ahead of print. doi: https://doi.org/10.1111/ppc.12719
Havaei F, Ma A, Staempfli S, MacPhee M. Nurses’ workplace conditions impacting their mental health during covid-19: a cross-sectional survey study. Healthcare (Basel). 2021;9(1):84. doi: https://dx.doi.org/10.3390%2Fhealthcare9010084
Sagherian K, Steege LM, Cobb SJ, Cho H. Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: a cross-sectional survey of hospital nursing staff in the United States. J Clin Nurs. 2020; Online ahead of print. doi: https://dx.doi.org/10.1111%2Fjocn.15566
Vitale E, Galatola V, Mea R. Exploring within and between gender differences in burnout levels in Italian nurses engaged in the COVID-19 health emergency: a cohort observational study. Minerva Psichiatr. 2020;61(4):162-70. doi: https://doi.org/10.23736/S0391-1772.20.02090-7
Chen R, Sun C, Chen JJ, Jen HJ, Kang XL, Kao CC, et al. A large-scale survey on trauma, burnout, and posttraumatic growth among nurses during the COVID-19 pandemic. Int J Ment Health Nurs. 2021;30(1):102-16. doi: https://doi.org/10.1111/inm.12796
Labrague LJ, De los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organisational support, personal resilience and social support. J Nurs Manag. 2020;28(7):1653-61. doi: https://doi.org/10.1111/jonm.13121
Saricam M. COVID-19-related anxiety in nurses working on front lines in Turkey. Nurs Midwifery Stud. 2020;9(3):178-81. doi: https://doi.org/10.4103/nms.nms_40_20
Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. Int J Ment Health Nurs. 2021;30(2):533-43. doi: https://doi.org/10.1111/inm.12818
Zhan Y, Liu Y, Liu H, Li M, Shen Y, Gui L, et al. Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: a cross-sectional survey. J Nurs Manag. 2020;28(7):1525-35. doi: https://doi.org/10.1111/jonm.13094
Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm. 2020;73(Supl 2):e20200434. doi: https://doi.org/10.1590/0034-7167-2020-0434
Sampaio F, Sequeira C, Teixeira L. Nurses’ mental health during the Covid-19 outbreak: a cross-sectional study. J Occup Environ Med. 2020;62(10):783-7. doi: https://doi.org/10.1097/jom.0000000000001987
Kim SC, Quiban C, Sloan C, Montejano A. Predictors of poor mental health among nurses during COVID-19 pandemic. Nurs Open. 2021;8(2):900-7. doi: https://doi.org/10.1002/nop2.697
Bahadir-Yilmaz E, Yüksel A. State anxiety levels of nurses providing care to patients with COVID-19 in Turkey. Perspect Psychiatr Care. 2020; Online ahead of print. doi: https://doi.org/10.1111/ppc.12661
Crowe S, Howard AF, Vanderspank-Wright B, Gillis P, McLeod F, Penner C, et al. The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: a mixed method study. Intensive Crit Care Nurs. 2021;63:102999. doi: https://doi.org/10.1016/j.iccn.2020.102999
Mekonen E, Shetie B, Muluneh N. The psychological impact of COVID-19 outbreak on nurses working in the northwest of Amhara regional state referral hospitals, northwest Ethiopia. Psychol Res Behav Manag. 2020;13:1353-64. doi: https://doi.org/10.2147/PRBM.S291446
The Joanna Briggs Institute. Joanna Briggs Institute reviewer’s manual. Adelaide (Australia): The Joanna Briggs Institute; 2014.
Cai Z, Zheng S, Huang Y, Zhang X, Qiu Z, Huang A, et al. Emotional and cognitive responses and behavioral coping of Chinese medical workers and general population during the pandemic of COVID-19. Int J Environ Res Public Health. 2020;17(17):6198. doi: https://dx.doi.org/10.3390/ijerph17176198
Díaz Tobajas MC, Juarros Ortiz N, García Martínez B, Sáez Gavilán C. Study on anxiety in intensive care nursing professionals facing the process of death. Enferm Glob. 2017;16(1):256-65. doi: http://dx.doi.org/10.6018/eglobal.16.1.232221
Yang S, Kwak SG, Ko EJ, Chang MC. The mental health burden of the COVID-19 pandemic on physical therapists. Int J Environ Res Public Health. 2020;17(10):3723. doi: https://dx.doi.org/10.3390/ijerph17103723
Fauzi MFM, Yusoff HM, Robat RM, Saruan NAM, Ismail KI, Haris AFM. Doctors’ mental health in the midst of covid-19 pandemic: The roles of work demands and recovery experiences. Int J Environ Res Public Health. 2020;17(19):7340. doi: https://dx.doi.org/10.3390/ijerph17197340
Hong S, Ai M, Xu X, Wang W, Chen J, Zhang Q, et al. Immediate psychological impact on nurses working at 42 government-designated hospitals during COVID-19 outbreak in China: a cross-sectional study. Nurs Outlook. 2021;69(1):6-12. doi: https://doi.org/10.1016/j.outlook.2020.07.007
Mo Y, Deng L, Zhang L, Lang Q, Pang H, Liao C, et al. Anxiety of nurses to support Wuhan in fighting against COVID-19 epidemic and its correlation with work stress and self-efficacy. J Clin Nurs. 2021;30(3-4):397-405. doi: https://doi.org/10.1111/jocn.15549
Evans-Lacko S, Knapp M. Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries. Soc Psychiatry Psychiatr Epidemiol. 2016;51(11):1525-37. doi: https://doi.org/10.1007/s00127-016-1278-4
Lee CM, Cadigan JM, Rhew IC. Increases in loneliness among young adults during the COVID-19 pandemic and association with increases in mental health problems. J Adolesc Health. 2020;67(5):714-7. doi: https://doi.org/10.1016/j.jadohealth.2020.08.009
Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. Lancet Public Health. 2020;5(5):e256. doi: https://doi.org/10.1016/S2468-2667(20)30061-X
Prado CEP. Estresse ocupacional: causas e consequências. Rev Bras Med Trab. 2016;14(3):285-9. doi: https://doi.org/10.5327/Z1679-443520163515
Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020;148:e98. doi: https://doi.org/10.1017/S0950268820001107
Shen X, Zou X, Zhong X, Yan J, Li L. Psychological stress of ICU nurses in the time of COVID-19. Crit Care. 2020;24(1):200. doi: https://doi.org/10.1186/s13054-020-02926-2
Paiano M, Jaques AE, Nacamura PAB, Salci MA, Radovanovic T, Carreira L. Saúde mental dos profissionais de saúde na China durante pandemia do novo coronavírus : revisão integrativa. Rev Bras Enferm. 2020;73(Suppl 2):1-9. doi: https://doi.org/10.1590/0034-7167-2020-0338
Gutiérrez Alvarez AK, Cruz Almaguer AY, Zaldivar Santos ED. Gestión de seguridad psicológica del personal sanitario en situaciones de emergencia por COVID-19 en el contexto hospitalario o de aislamiento. Rev Cubana Enferm [Internet]. 2020 [cited 2021 ene 03];36(2):1-19. Disponible en: http://www.revenfermeria.sld.cu/index.php/enf/article/view/3704
Almeida LA, Medeiros IDS, Barros AG, Martins CCF, Santos VEP. Fatores geradores da Síndrome de Burnout em profissionais da saúde. Rev Pesq Cuid Fundam. 2016;8(3):4623. doi: https://dx.doi.org/10.9789/2175-5361.2016.v8i3.4623-4628
Carvalho DPC, Rocha LP, Barlem JGT, Dias JS, Schallenberger CD. Cargas de trabalho e a saúde do trabalhador de enfermagem: revisão integrativa. Cogitare Enferm. 2017;22(1):1-10. doi: http://dx.doi.org/10.5380/ce.v22i1.46569
Moreira MM, Marcondes C, Geremia DS. Padrões de sono entre os profissionais de enfermagem. Rev Atenção Saúde. 2015;13(44):11-6. doi: https://doi.org/10.13037/ras.vol13n44.2493
Luceño-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in spanish health personnel during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(5):5514. doi: https://dx.doi.org/10.3390/ijerph17155514
Silva DSD, Tavares NVS, Alexandre ARG, Freitas DA, Brêda MZ, Albuquerque MCS, et al. Depression and suicide risk among nursing professionals: an integrative review. Rev Esc Enferm USP. 2015;49(6):1027-36. doi: https://doi.org/10.1590/S0080-623420150000600020
Kapilan N. Suicides cases among nurses in India due to COVID-19 and possible prevention strategies. Asian J Psychiatr. 2020;54:102434. doi: https://dx.doi.org/10.1016/j.ajp.2020.102434
Reger MA, Piccirillo ML, Buchman-Schmitt JM. COVID-19, mental health, and suicide risk among health care workers: looking beyond the crisis. J Clin Psychiatry. 2020;81(5):20com13381. doi: https://dx.doi.org/10.4088/JCP.20com13381
Santarone K, McKenney M, Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. Am J Emerg Med. 2020;38(7):1530-1 doi: https://doi.org/10.1016/j.ajem.2020.04.030
Ng B. Solutions to prevent and address physician burnout during the pandemic in Mexico. Indian J Psychiatry. 2020;62(Suppl 3):S5467–9. doi: https://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_840_20
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